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MR. JERRY W JACKSON MD
NPI 1467400051
Internal Medicine - Nephrology in Birmingham, AL

Active since May 05, 2006
817 PRINCETON AVE SW, SUITE 210, BIRMINGHAM, AL 35211(205) 226-5911(205) 226-5939 Get Directions Write a Review

NPPES record last updated: January 12, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Jerry W Jackson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JERRY W JACKSON MD (NPI 1467400051) is an individual nephrology provider in Birmingham, Alabama, licensed in Alabama (6279) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1467400051
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMR. JERRY W JACKSONCredential: MD
Location Address817 PRINCETON AVE SW, SUITE 210Birmingham, AL 35211
Mailing Address817 Princeton Ave Sw, Suite 210Birmingham, AL 35211 · (205) 226-5911 · Fax (205) 226-5939
Phone(205) 226-5911
Fax(205) 226-5939
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateJanuary 12, 2011
✔ NPI 1467400051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in AL · 6279
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
817 PRINCETON AVE SW, Birmingham, AL 35211
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Other Identifiers 3

Medicare ID-Type Unspecified000003165AL
Medicaid000003165AL
Medicare UPINC76949

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VERNON D. HORST M.D.
Surgery (Vascular Surgery)
817 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 783-0160
PRINCETON WOMENS CARE
Obstetrics & Gynecology (Maternal & Fetal Medicine)
817 PRINCETON AVE SW, POB II; SUITE 120
BIRMINGHAM, AL 35211
Jefferson County (205) 781-7123
DR. VASUDEVA RAO GOLI M.D.
Internal Medicine (Cardiovascular Disease)
817 PRINCETON AVE SW, PROFESSIONAL BLDG 2 SUITE 202
BIRMINGHAM, AL 35211
Jefferson County (205) 786-8815
MR. JODY ST.CLAIR PA-C
Physician Assistant (Surgical)
817 PRINCETON AVE SW, POB II STE. 306
BIRMINGHAM, AL 35211
Jefferson County (205) 783-0160
THORACIC CARDIAC & VASCULAR SURGERY
Thoracic Surgery (Cardiothoracic Vascular Surgery)
817 PRINCETON AVE SW, POB II, SUITE 300
BIRMINGHAM, AL 35211
Jefferson County (205) 780-8980
SOUTHEASTERN DERMATOLOGY CENTERS
Specialist
817 PRINCETON AVE SW, POB II, SUITE 302
BIRMINGHAM, AL 35211
Jefferson County (205) 781-6995
MRS. MINERVA AMPUTCH-YOUNG MS, LPC, NCC
Counselor (Professional)
817 PRINCETON AVE SW, SUITE 115
BIRMINGHAM, AL 35211
Jefferson County (205) 453-9888
ERIC BROWN CRNP
Nurse Practitioner (Gerontology)
817 PRINCETON AVE SW, SUITE 120
BIRMINGHAM, AL 35211
Jefferson County (205) 783-3320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Jackson's NPI number?

The NPI number for Jerry Jackson is 1467400051. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Jerry Jackson located?

Jerry Jackson practices at 817 Princeton Ave SW Suite 210, Birmingham, AL 35211. The listed phone number is (205) 226-5911.

What is Jerry Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Jerry Jackson was last updated on January 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.